路径化护理干预措施对冠心病PCI患者的护理效果及预后的影响分析

发布时间：2019-01-28 21:42

【摘要】：目的分析路径化护理干预措施对冠心病PCI患者护理效果及预后的影响。方法选取2015年1月~2016年11月于我院接受冠心病PCI患者90例作为本次研究对象,随机将其分为观察组和对照组。观察组采用路径化护理干预措施,对照组采用常规护理措施。比较两组患者的手术时间、住院时间、SAS评分和SDS评分、并发症情况及生活质量评分。结果观察组手术时间和住院时间[(36.19±10.25)min、(9.17±1.26)d]明显少于对照组的(48.75±13.02)min、(15.49±2.04)d,差异有统计学意义(P0.05);护理后观察组SDS、SAS评分[(32.23±5.60)分、(30.23±2.07)分]均显著低于对照组[(49.87±5.21)分、(48.91±4.32)分],差异有统计学意义(P0.05);观察组血管并发症、腰酸腰痛、尿潴留、低血压、迷走反射、失眠、腹胀等非血管并发症发生率均明显低于对照组,差异有统计学意义(P0.05);观察组出院时生活质量评分为(80.29±8.65)分,显著高于对照组的(74.36±7.93)分,差异具有统计学意义(P0.05)。结论路径化护理干预措施可有效的缩减冠心病PCI患者的手术时间和住院时间,缓解患者焦虑、抑郁情绪,减少并发症的发生,提高患者生活质量,值得临床推广应用。
[Abstract]:Objective to analyze the effect of path nursing intervention on nursing effect and prognosis of patients with coronary heart disease (PCI). Methods from January 2015 to November 2016, 90 patients with coronary heart disease (PCI) were randomly divided into observation group and control group. The observation group was treated with path-oriented nursing intervention and the control group with routine nursing measures. The operative time, hospitalization time, SAS score and SDS score, complication and quality of life score were compared between the two groups. Results the operative time and hospital stay in the observation group [(36.19 卤10.25) min, (9.17 卤1.26) d] were significantly lower than those in the control group (48.75 卤13.02) min, (15.49 卤2.04 d, P0.05). The SDS,SAS score of the observation group [(32.23 卤5.60), (30.23 卤2.07)] was significantly lower than that of the control group [(49.87 卤5.21), (48.91 卤4.32)] (P0.05). The incidence of vascular complications, lumbar acid low back pain, urinary retention, hypotension, vagus reflex, insomnia, abdominal distension and other non-vascular complications in the observation group were significantly lower than those in the control group (P0.05). The QOL score of the observation group was (80.29 卤8.65), significantly higher than that of the control group (74.36 卤7.93), the difference was statistically significant (P0.05). Conclusion Pathway nursing intervention can effectively reduce the operation time and hospitalization time of patients with coronary heart disease (PCI), relieve anxiety and depression of patients, reduce the occurrence of complications, improve the quality of life of patients, and is worthy of clinical popularization and application.
【作者单位】：绍兴第二医院心内科;
【基金】：浙江省医药卫生科技计划项目(2015KYB404)
【分类号】：R473.5

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